| CASE NUMBER | I-200-24130-975778 |
| CASE STATUS | Certified |
| RECEIVED DATE | 5/9/2024 |
| DECISION DATE | 5/16/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Outpatient Therapist |
| SOC CODE | 21-1014.00 |
| SOC TITLE | Mental Health Counselors |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | OMNI Health Services, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 160 Bethlehem Pike, Suite 120 |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Colmar |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 18915 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12159972000 |
| EMPLOYER PHONE EXT | 1031 |
| NAICS CODE | 621420 |
| EMPLOYER POC LAST NAME | Hosterman |
| EMPLOYER POC FIRST NAME | Jade |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS1 | 160 Bethlehem Pike, Suite 120 |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Colmar |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 18915 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12159972000 |
| EMPLOYER POC PHONE EXT | 1031 |
| EMPLOYER POC EMAIL | jhosterman@omhsi1.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Hirsch |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | I |
| AGENT ATTORNEY ADDRESS1 | 150 Strafford Avenue, Ste. 110 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Wayne |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19087 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16109646100 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | matt@hirschlaw1.com |
| LAWFIRM NAME BUSINESS NAME | The Law Office of Matthew I Hirsch |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 220 Pierce Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Kingston |
| WORKSITE COUNTY | LUZERNE |
| WORKSITE STATE | PA |
| WORKSITE POSTAL CODE | 18704 |
| WAGE RATE OF PAY FROM | 50000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $40,019.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Hirsch |
| PREPARER FIRST NAME | Matthew |
| PREPARER MIDDLE INITIAL | I |
| PREPARER BUSINESS NAME | Law Office of Matthew I Hirsch |
| PREPARER EMAIL | matt@hirschlaw1.com |
| BEGIN DATE CONVERTED | 2024-01-10 |
